I-HUMAN WEEK 9 CASE STUDY 30-YEAR-OLD
FEMALE WITH LOWER ABDOMINAL PAIN VAGINAL
SPOTTING ADVANCED HEALTH ASSESSMENT
COMPREHENSIVE SOAP NOTE EDITION 2026-2027
WITH ALL ANSWERS QUALIFIED PASS!!!
,i-Human Week 9 Case Study Solution
30-Year-Old Female with Lower Abdominal Pain and Vaginal Spotting
Advanced Health Assessment Comprehensive SOAP Note
Patient Information
Name: Jane Doe
Age: 30 years
Gender: Female
Race: Caucasian
Chief Complaint: “I have lower abdominal pain and vaginal spotting for the past two days.”
The patient is a 30-year-old female who presents with complaints of lower abdominal pain
accompanied by vaginal spotting for the last 48 hours. She reports the pain began gradually and
has progressively worsened. The pain is described as sharp, intermittent, and localized mainly in
the lower pelvic region, more pronounced on the right side. She rates the pain as 7/10 in
severity.
The patient states the spotting is light pink to dark brown and does not resemble her normal
menstrual flow. She reports associated nausea and mild dizziness but denies vomiting. She also
complains of fatigue and generalized weakness. Movement worsens the pain, while lying still
slightly relieves symptoms.
Her last menstrual period was approximately six weeks ago. She confirms being sexually active
with one partner and inconsistently using contraception. She denies fever, chills, urinary
burning, frequency, flank pain, diarrhea, or constipation.
,Because of the missed period and current symptoms, the patient expresses concern about a
possible pregnancy complication.
Past Medical History
• No chronic illnesses reported
• No history of hypertension or diabetes
• History of mild anemia during previous pregnancy
Surgical History
• Appendectomy at age 14
• No gynecological surgeries
Obstetric and Gynecologic History
• Gravida 2 Para 1
• One full-term vaginal delivery
• No prior miscarriages
• Menstrual cycles usually regular every 28 days
• Last Pap smear one year ago and normal
• No history of sexually transmitted infections
, Medications
• Occasional ibuprofen for pain
• Daily multivitamin
Allergies
• No known drug allergies
Family History
• Mother with hypertension
• Father with type 2 diabetes
• No family history of gynecologic cancers
Social History
• Non-smoker
• Drinks alcohol socially
• Denies illicit drug use
• Lives with partner
• Works as an office administrator
FEMALE WITH LOWER ABDOMINAL PAIN VAGINAL
SPOTTING ADVANCED HEALTH ASSESSMENT
COMPREHENSIVE SOAP NOTE EDITION 2026-2027
WITH ALL ANSWERS QUALIFIED PASS!!!
,i-Human Week 9 Case Study Solution
30-Year-Old Female with Lower Abdominal Pain and Vaginal Spotting
Advanced Health Assessment Comprehensive SOAP Note
Patient Information
Name: Jane Doe
Age: 30 years
Gender: Female
Race: Caucasian
Chief Complaint: “I have lower abdominal pain and vaginal spotting for the past two days.”
The patient is a 30-year-old female who presents with complaints of lower abdominal pain
accompanied by vaginal spotting for the last 48 hours. She reports the pain began gradually and
has progressively worsened. The pain is described as sharp, intermittent, and localized mainly in
the lower pelvic region, more pronounced on the right side. She rates the pain as 7/10 in
severity.
The patient states the spotting is light pink to dark brown and does not resemble her normal
menstrual flow. She reports associated nausea and mild dizziness but denies vomiting. She also
complains of fatigue and generalized weakness. Movement worsens the pain, while lying still
slightly relieves symptoms.
Her last menstrual period was approximately six weeks ago. She confirms being sexually active
with one partner and inconsistently using contraception. She denies fever, chills, urinary
burning, frequency, flank pain, diarrhea, or constipation.
,Because of the missed period and current symptoms, the patient expresses concern about a
possible pregnancy complication.
Past Medical History
• No chronic illnesses reported
• No history of hypertension or diabetes
• History of mild anemia during previous pregnancy
Surgical History
• Appendectomy at age 14
• No gynecological surgeries
Obstetric and Gynecologic History
• Gravida 2 Para 1
• One full-term vaginal delivery
• No prior miscarriages
• Menstrual cycles usually regular every 28 days
• Last Pap smear one year ago and normal
• No history of sexually transmitted infections
, Medications
• Occasional ibuprofen for pain
• Daily multivitamin
Allergies
• No known drug allergies
Family History
• Mother with hypertension
• Father with type 2 diabetes
• No family history of gynecologic cancers
Social History
• Non-smoker
• Drinks alcohol socially
• Denies illicit drug use
• Lives with partner
• Works as an office administrator
